<div class="popform">
    <p class="validateTips">All form fields are required.</p>
    <form>
        <ul class="fl leftform">
            <li class="top">
                <label>First Name:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->firstName; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Last Name:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->lastName; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Email:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->email; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Password:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->password; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Confirm Password:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->confirmPassword; ?></div>
                <div class="clr"></div>
            </li>
        </ul>
        <ul class="fr right-form">
            <li>
                <label>Cell:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->cell; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Phone:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->phone; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Role:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->role; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Department:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->department; ?></div>
                <div class="clr"></div>
            </li>
            <li>
                <label>Status:<span>*</span></label>
                <div class="inputbg"><?php echo $this->form->status; ?></div>
                <div class="clr"></div>
            </li>
        </ul>       
    </form>
</div>